This study aimed to understand the experiences and expectations of people seeking bariatric surgery in England identify implications for behavioural self-management interventions.

The National Health Service Type 2 Diabetes Path to Remission programme in England (known as the NHS Low Calorie Diet when piloted) was established support people living with excess weight and lose improve their glycaemic control. A mixed method evaluation commissioned provide an enhanced understanding of long-term cost effectiveness pilot programme, its implementation, equity transferability across broad diverse populations. This study provided key insights on implementation from service...

Background: The food reintroduction phase of the NHS Low Calorie Diet (LCD) programme aims to support service users reintroduce gradually back into their diet. Understanding experiences from a broad and diverse range is critical in helping improve delivery commissioning equity care. Methods: This was co-produced qualitative study underpinned by realist informed approach, using interviews photovoice techniques. Service (n=43) LCD Programme were recruited three models across 21 pilot sites...

Background: The National Health Service (NHS) Low Calorie Diet (LCD) programme in England aims to support people with type 2 diabetes (T2DM) lose weight, improve glycaemic parameters and potentially achieve remission. pilot launched 2020 using three different delivery models: one-to-one, group digital via an App. users begin the 12 weeks of Total Replacement (TDR). This study understand experience this TDR phase from service user perspective. Methods: was a co-produced qualitative...

To understand the influences and decisions of vulnerable older people in relation to keeping warm winter.A qualitative study incorporating in-depth, semi-structured individual group interviews, framework analysis social marketing segmentation techniques.Rotherham, South Yorkshire, UK.50 (>55) 25 health care staff underwent interview. The also had household temperature measurements. 24 19 participated one six interviews.Multiple complex factors emerged explain whether were able keep warm....

This study aimed to understand the influences and decisions of households with children asthma regarding keeping warm well at home in winter.Community settings Rotherham Doncaster, South Yorkshire, UK.Individuals from 35 families 25 health, education social care staff underwent interview. 5 group interviews were held, 1 parents (n=20) 4 (n=25).This qualitative incorporated in-depth, semistructured individual interviews, framework analysis marketing segmentation techniques.The research...

Background: In 2020, NHS England commissioned independent commercial service providers to deliver a Low Calorie Diet Programme pilot, offering Total Replacement alongside behavioural support. Methods: This paper presents participant experiences of the programme using both quantitative and qualitative data derived from four cross-sectional surveys, examines differences by sociodemographics, delivery model provider. Results: The majority participants reported positive experience with referral...

Background: Attrition remains a significant public health challenge as individuals who do not complete programmes are likely to have poorer programme outcomes. On calorie- restricted diets, including the NHS Low Calorie Diet (LCD) Programme pilot, approximately 50% of people discharged prematurely, and thus programme. Reducing attrition therefore has potential improve efficacy, impact cost-effectiveness. Methods: Ten semi-structured interviews were conducted with purposively sampled did LCD...

Abstract Background Health and wellbeing can be profoundly impacted by both obesity type 2 diabetes, while the normalisation equity of care for people living with these non-communicable diseases remain as challenges local health systems. The National Service Low Calorie Diet programme in England, aims to support achieve diabetes remission, also reducing inequalities. We have explored experiences staff who made a referral LCD programme, identifying effective equitable delivery referrals,...

Abstract Background Addressing increasing rates of childhood obesity is a global priority. High numbers children and young people are living with experience significant physical mental health impacts. Social prescribing research has shown it can help improve people’s health, meaning may be helpful way to provide additional, personalised support who obesity, address the inequalities experienced by this group. This study aimed an overview current understanding use social from healthcare...

Abstract Aim The risk of Type 2 Diabetes is 10 times higher after a pregnancy with Gestational Diabetes. Physical activity can independently reduce this risk, yet engagement physical remains low Therefore, the present study aimed to explore barriers and facilitators uptake in United Kingdom, using socio‐ecological approach. Methods paper was written following Standards for Reporting Qualitative Research. Patient Public Involvement contributed study's conceptualisation design. Participants...

Summary Obesity and Type 2 Diabetes Mellitus (T2DM) are chronic conditions with significant personal, societal, economic impacts. Expanding on existing trial evidence, the NHS piloted a 52‐week low‐calorie diet programme for T2DM, delivered by private providers using total replacement products behaviour change support. This study aimed to determine extent which coaches adhered service specification outlined England. An observational qualitative was conducted examine delivery of both...

Introduction: The National Health Service (NHS) Low Calorie Diet (LCD) pilot programme aimed to support people with type 2 diabetes (T2DM) lose weight, reduce glycaemia and potentially achieve T2DM remission using total diet replacement alongside behaviour change support. Re:Mission study seeks provide an enhanced understanding of the long-term cost-effectiveness its implementation, equity, transferability normalisation across broad diverse populations. This article presents overview methods...

Abstract Background Local government has become a key constituent for addressing health inequalities and influencing the of individuals communities in England. Lauded as an effective approach to tackle multiple determinants health, there are concerns that generating utilising research evidence inform decision-making action is challenge. This was conducted local authority situated north England addressed question – ‘What capacity collaborate deliver research?’. The study explored assets exist...

Aims and objectives To examine, from the perspective of staff, if obese patients have any additional care needs, what impact these requirements are on provision. We selected with venous leg ulceration as an example patient population to explore questions. Background Anecdotal evidence indicates obesity can increase implications for However, little research exists nationally or internationally that provides a health perspective. Obesity is contributory causative factor lower limb ulceration....

Background Existing literature examines barriers to the provision of ethnically diverse dietary advice, however, is not specific total diet replacement (TDR). There a lack from UK, limiting potential applicability existing findings and themes UK context. This study addresses this gap in research by interviewing participants South Asian ethnicity who have undertaken National Health Service (NHS) low-calorie programme (LCD) for people with type 2 diabetes living overweight or obesity. explores...

Background: The weight maintenance phase of the NHS Low CalorieaDiet (LCD) programme focuses on embedding long- term dietary and physical activity changes. Understanding individual experiences this is crucial to exploring effectiveness equity intervention approach. Methods: This was a coproduced qualitative study underpinned by realist informed approach, using interviews photovoice techniques. Service users (n=25) LCD were recruited from three delivery models, across 21 sites in England....

Background: Obesity and type 2 diabetes (T2DM) can both profoundly impact health wellbeing. Their prevalence largely follows a social gradient. The National Health Service Low Calorie Diet programme in England aims to support people achieve T2DM remission while also reducing inequalities. We aimed explore the experiences of local service leads identify barriers facilitators relation equitable mobilisation programme. Methods: Twenty semi-structured interviews were completed with 24 locality...

Purpose – A nutritious diet is critical to the health and development of pre-school children. Children in UK consume much food outside home yet day-care provision unregulated, informed by disparate conflicting dietary guidelines. Factors affecting nursery have been studied, but less known about child-minder setting. The purpose this paper examine factors influencing child-minders’ provision. Design/methodology/approach Qualitative methods were employed, combining participant observation with...